Provider Demographics
NPI:1043924863
Name:MAULE, MARY AUNE
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:AUNE
Last Name:MAULE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30633 JEFFREY CT
Mailing Address - Street 2:APT 103
Mailing Address - City:NEW HUDSON
Mailing Address - State:MI
Mailing Address - Zip Code:48165
Mailing Address - Country:US
Mailing Address - Phone:810-429-8188
Mailing Address - Fax:
Practice Address - Street 1:3471 E GRAND RIVER AVE # 106
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-8552
Practice Address - Country:US
Practice Address - Phone:657-444-9002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician